Symptoms and Causes of Heel Pad Syndrome

Heel pad syndrome occurs when the protective fat pad beneath the heel thins or loses its elasticity, reducing the ability to absorb impact. This can result in deep, aching pain at the center of the heel, particularly when walking, standing, or engaging in high-impact activities. Some people describe a bruised sensation, which may worsen when walking barefoot or on hard surfaces. Repetitive stress, prolonged standing, excess body weight, and aging can contribute to the deterioration of the heel pad. Wearing inappropriate footwear and conditions that affect soft tissue integrity, such as diabetes or arthritis, may also play a role in developing heel pad syndrome. A podiatrist can evaluate the condition by examining your heel and assessing fat pad thickness. Diagnostic imaging may be used to differentiate heel pad syndrome from other sources of heel pain, like plantar fasciitis or stress fractures. Treatment options for heel pad syndrome include footwear modifications, custom orthotics, or cushioning inserts to support the heel and reduce discomfort. If you are experiencing pain on the bottom of the heel, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.

Many people suffer from bouts of heel pain. For more information, contact one of our podiatrists of Dr. Jeffrey J. Betman & Associates . Our doctors can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions, please feel free to contact our offices located in Northwest Chicago, Southwest Chicago, and Wicker Park, Chicago, IL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Facts About Tarsal Tunnel Syndrome

Tarsal tunnel syndrome is caused by the compression of the posterior tibial nerve as it passes through the tarsal tunnel, located on the inside of the ankle. This compression can lead to various symptoms such as numbness, tingling, burning sensations, and sharp pain in the foot and ankle area. These symptoms often worsen with prolonged standing, walking, or activity. The causes of tarsal tunnel syndrome include trauma, repetitive stress, or conditions like diabetes that lead to nerve damage. Other contributing factors include swelling, cysts, or flat feet, which can narrow the tunnel and put pressure on the nerve. To diagnose tarsal tunnel syndrome, podiatrists rely on a thorough physical examination and may use imaging tests like MRI scans or ultrasounds to assess the area. Nerve conduction studies may also be performed to measure the electrical activity of the nerves and confirm the diagnosis. If you are experiencing any of the above symptoms, it is suggested that you confer with a podiatrist who can provide an accurate diagnosis and treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of Dr. Jeffrey J. Betman & Associates . Our doctors can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please contact our offices located in Northwest Chicago, Southwest Chicago, and Wicker Park, Chicago, IL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Preventing Toenail Issues While Running

Running can put significant stress on the feet, often leading to various toenail issues. Common toenail conditions caused from running include black toenails, ingrown toenails and fungal infections, in addition to thickened nails, and toenail trauma. Black toenails usually occur from repeated impact, causing blood to pool under the nail. Ingrown toenails develop when the edges of the toenail grow into the surrounding skin, often causing pain and infection. Fungal infections thrive in a warm, moist environment created by sweat, leading to discoloration and thickened nails. Toenail trauma can happen from wearing ill-fitting shoes or improper running form. Preventing these issues requires wearing properly fitting shoes with enough room for the toes to move freely. Regularly trimming toenails straight across can help avoid ingrown nails, while keeping feet dry and using antifungal treatments can reduce the risk of infections. Additionally, performing proper nail care and recovery time after long runs can help prevent toenail damage. If you have developed toe pain from running, it is suggested that you consult a podiatrist who can provide an accurate diagnosis and treatment.

All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact one of our podiatrists of Dr. Jeffrey J. Betman & Associates . Our doctors will treat your foot and ankle needs.

How to Prevent Running Injuries

There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.

More Tips for Preventing Injury

  • Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
  • Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
  • “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
  • Cross-Training is Crucial
  • Wear Proper Running Shoes
  • Have a Formal Gait Analysis – Poor biomechanics can easily cause injury

If you have any questions, please feel free to contact our offices located in Northwest Chicago, Southwest Chicago, and Wicker Park, Chicago, IL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Heel Pain in the Morning?

Heel pain can negatively affect your day-to-day life. Simple activities like walking can become incredibly uncomfortable or painful due to heel pain.

Don’t live with heel pain and get treated.

Should You Hike With a Broken Toe?

Hiking with a broken toe is generally not advisable, as it can make the injury worse and prolong recovery. The decision to hike depends on the severity of the break and the level of pain experienced. If the break is minor and the pain is manageable, it may be possible to engage in light walking or short hikes, but only with proper protection such as a stiff-soled shoe or a splint. However, if the pain is severe, the fracture is more significant, or the toe is misaligned, attempting to hike can cause further damage and increase swelling or bruising. For a stable recovery, it is important to limit weight-bearing activities. If hiking is essential, it is critical to assess the injury carefully. If you have broken your toe, it is suggested that you consult a podiatrist who can offer effective treatment solutions, and guide you on successful hiking with this type of injury, if warranted.

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact one of our podiatrists from Dr. Jeffrey J. Betman & Associates . Our doctors will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

  • Throbbing pain
  • Swelling
  • Bruising on the skin and toenail
  • The inability to move the toe
  • Toe appears crooked or disfigured
  • Tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

If you have any questions, please feel free to contact our offices located in Northwest Chicago, Southwest Chicago, and Wicker Park, Chicago, IL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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What Are Bunions?

A bunion is a bony bump that forms at the base of the big toe, caused by the tip of the toe leaning toward the second toe. This condition often results in pain, swelling, and redness surrounding the joint. Over time, bunions can make walking or wearing shoes uncomfortable, especially if the bump rubs against the inside of the shoe. The main cause of bunions is genetics, but they can also develop due to wearing tight or ill-fitting shoes, arthritis, or abnormal foot mechanics. The pressure on the big toe joint leads to misalignment and the growth of the bony bump. Treatment options for bunions include wearing wider shoes, using bunion pads, and doing foot exercises to improve flexibility. In more severe cases, a podiatrist might recommend custom orthotics or even surgery to correct the deformity. If you have developed a bunion, it is suggested that you schedule an appointment with a podiatrist.

If you are suffering from bunions, contact one of our podiatrists of Dr. Jeffrey J. Betman & Associates . Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • Surgery

If you have any questions, please feel free to contact our offices located in Northwest Chicago, Southwest Chicago, and Wicker Park, Chicago, IL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Diabetic Foot Care and Steps to Stay Healthy

Diabetes is a chronic condition affecting how the body processes blood sugar, leading to potential nerve damage and poor circulation. These complications can significantly impact the feet, causing numbness, slow-healing wounds, and infections that may progress to serious issues if untreated. To avoid foot problems, diabetic patients should prioritize daily foot care. Inspect feet for cuts, blisters, redness, or swelling, as reduced sensation might mask injuries. Keep feet clean and moisturized, but avoid applying lotion between toes to prevent fungal infections. Wearing properly fitted shoes is another vital prevention technique. Ill-fitting footwear can cause pressure points and sores, so choose supportive, breathable shoes designed for diabetic foot care. If you have diabetes, regular visits to a podiatrist are suggested. They can treat existing issues, monitor foot health, and provide guidance on preventive measures to keep your feet healthy and active.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact one of our podiatrists from Dr. Jeffrey J. Betman & Associates . Our doctors can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions, please feel free to contact our offices located in Northwest Chicago, Southwest Chicago, and Wicker Park, Chicago, IL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Avoiding Ankle Sprains

Ankle sprains are common injuries that occur when the ligaments in the ankle are stretched or torn, often due to an awkward twist or roll of the foot. Common causes include sports activities, uneven terrain, or walking on unstable surfaces. Symptoms typically include pain, swelling, bruising, and difficulty moving the ankle. To avoid ankle sprains, it is important to strengthen and stretch the calf muscles and surrounding areas. Regular exercises to improve flexibility and balance can help stabilize the ankle joint and prevent sudden twists. Wearing supportive footwear that fits well and provides adequate arch support is also key in reducing the risk of injury. Additionally, warming up before physical activity and avoiding walking on uneven surfaces can help to prevent sprains. A podiatrist can offer personalized advice on strengthening exercises, footwear choices, and other strategies to protect the ankle. If you are have sprained your ankle, it is suggested that you schedule an appointment with a podiatrist.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact one of our podiatrists from Dr. Jeffrey J. Betman & Associates . Our doctors can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

  • Mild to moderate bruising
  • Limited mobility
  • Swelling
  • Discoloration of the skin (depending on severity)

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

If you have any questions please feel free to contact our offices located in Northwest Chicago, Southwest Chicago, and Wicker Park, Chicago, IL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Three Grades of Ankle Sprains

Plantar Fasciitis and the Windlass Mechanism

Plantar fasciitis causes pain in the heel and bottom of the foot. It occurs when the plantar fascia, the thick band of tissue connecting the heel bone to the toes, becomes inflamed due to repetitive stress. This condition often results in sharp pain, especially with the first steps in the morning or after periods of rest. The Windlass mechanism plays a key role in this condition. It refers to the natural process that occurs when the toes are dorsiflexed, or bent up, causing the plantar fascia to tighten and lift the arch of the foot. This action helps with walking and running but can aggravate plantar fasciitis if the tissue is overstressed. Over time, excessive strain on the plantar fascia can lead to inflammation and pain, making it difficult to walk or stand for long periods. If you have heel pain, it is suggested that you contact a podiatrist who can accurately diagnose and effectively treat the problem.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists  from Dr. Jeffrey J. Betman & Associates . Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions, please feel free to contact our offices located in Northwest Chicago, Southwest Chicago, and Wicker Park, Chicago, IL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Ingrown toenails can be painful and can make wearing shoes or walking uncomfortable. Seek professional help if you believe you've developed an ingrown toenail and be treated safely. 

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